MC-17-2638Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
it
Permit'NO MCA 1-1.7-2638,
Permit Type:=Mechanical -Commercial
Work Classification: Addition/Alteration
PermitStatus:, APPROVED
Issue Date: 11/14/2017
Expiration: 05/13/2018
Parcel Number
Applicant
9220 BISCAYNE Boulevard
Miami Shores, FL
1132060141460
Block: Lot:
9220 BISCAYNE LLC
Owner Information
Address
Phone
CeII
9220 BISCAYNE LLC
1110 BRICKELL Avenue
MIAMI FL 33131-3132
(786)703-7002
1110 BRICKELL Avenue
MIAMI FL 33131-3132
Contractor(s) Phone CeII Phone
A.P EXPRESS A/C AND REFRIGERATI (786)252-7224
Valuation:
Total Sq Feet:
$ 28,000.00
0
•
Tons:
Additional Info: DUCT WORK AC UNITS ON 8 APARTMENTS
Classification: Commercial
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved:: In Review
Type of Work: DUCT WORK AC UNITS ON 8 APART
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$16.80
$14.70
$9.80
$5.60
$980.00
$3.00
$22.40
$1,052.30
Pay Date
Invoice #
11/14/2017
11/06/2017
Pay Type
MC-11-17-65570
Credit Card
Credit Card
Amt Paid Amt Due
$ 1,002.30 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Ventilation
Final
Rough
Rough Duct
Duct Detector Test
Review Mechanical
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBI
- . : CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify,/ ' - , he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhe ., authorize . - above -named contractor to do the work stated.
or' dgnature:
Building
November 14, 2017
wner / Applicant / Contractor / Agent
ment Copy
November 14, 2017
Date
1
BUILDING
PERMIT APPLICATION
El BUILDING ❑ ELECTRIC
['PLUMBING 114ECHANICAL
JOB ADDRESS:
c1220
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
❑ PUBLIC WORKS
NOV 0 6 2017
W'4-4
F C 01�
Master Permit No. CC t3 - 16 - SS�O
Sub Permit No. C 17+ Uo 4S
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF
CONTRACTOR
`(
❑ CANCELLATION
❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade Zip: 1 3
Folio/Parcel#: 1(�'J2-O� 0 \(4 - (((p 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address:
City: M
construction Type: Flood Zone: BFE: FFE:
stru
c-r.st. (
S. Sti.sc-e
State:
Phone#: - (C��j -
Tenant/Lessee Name: Phone#:
Email:'
br(i) (\ ®C�c�+Zi ( .
Zip: 3314
CONTRACTOR: Company Name: ��P cc 4 f C c�r+(�i c. y:,.i� _ Phone#: ( Z S 2_42? L(
Address: p O \O Ci,) * S
City: �' `� ?� State: t`
Qualifier Name: 4 k evi.e c'e
State Certification or Registration #: C�( r P ( 6 )- �o
Phone#:
Zip: �e)a cif (43
Certificate of Competency #: 8 3 c 1 00
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ 2 • (%C> Square/Linear Footage of Work:
Type of Work: ❑ Addition
I I Alteration Pi New
Description of Work: O Get -
Lk.)
arL12
4\'C C.,c-+r'+S
State:
Zip:
Repair/Replace ❑ Demolition
01..1 • /1-er4vt,tel,1114
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
6WAX
Training/Education Fee $
CCF $ CO/CC $
DBPR $ (`i • Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the obsen jof such posted notice, the
inspection will not be approved and a reinscon fee will be charged.
Signature
OWNER or A
The nt was a knowledged before me this
oregoing�instrument waasacknowledged before me this
tThe toregoing i.: rum
l _ day ofnlJ CS 20 (� by 3 daY QfC �: ./ , 20 n by
Signature
me or who has produced
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal;
•
as
me or who has produced
who is personally known to
identification and who did take an oath.
NOTARY PUj C:
as
ISABEL IGLESIAS
MY COMMISSION I FF 162148
EXPIRES: November 1, 2018
�= � e e0 mis 9voget Nobry SeMta
i#ti#iilii########i#ttt###li####### ******* i##r####i###it#►i#N\4#it#t######ttt#t}t##}#t#Vs}##M1i#i#tr}}}####
APPROVED BY plan Examiner Zoning
)Revised02/24/2014)
O--
MY COMMISSION # FF964004
EXPIRES February 23, 2020
I andeNo.a • wlno,eom
Sign:
Pr mot:
Seal: �',a w
+_ .
Structural Review r_l•rlt